Healthcare Provider Details

I. General information

NPI: 1326958281
Provider Name (Legal Business Name): JACLYN FELIX SPECTRUM, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

IV. Provider business mailing address

1375 GATEWAY BLVD
BOYNTON BEACH FL
33426-8304
US

V. Phone/Fax

Practice location:
  • Phone: 321-804-1985
  • Fax:
Mailing address:
  • Phone: 321-804-1985
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JACLYN SUZETTE FELIX
Title or Position: CEO
Credential: MS, LMHC
Phone: 561-464-0612